Background
The American College of Obstetricians and Gynecologists (ACOG), District IX (California) initiated a project in 2004 to explore approaches employed by its physician members to communicate with patients with limited (LEP) or no English language proficiency. The project employed a series of focus groups of physicians and consumers and a survey of District IX?s membership to catalogue physician language access strategies and attitudes across a variety of practice settings. Focus group and survey findings and the results of a literature search were analyzed by the project?s Advisory Panel. The Panel then generated practice and policy recommendations to promote use of language access practices that ensure accurate interpretation, confidentiality, and adherence to medical ethics standards, while discouraging use of inappropriate methods.
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